Individual provider Active NPI

Carl Vorwerk, CRNA

  • Certified Registered Nurse Anesthetist
  • Havertown, PA
National Provider Identifier
1770570715
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN242873L Issued in PA
Practice address
2010 Old West Chester Pike
Ste 330
Havertown, PA 19083-2712
Phone
(610) 789-8070
Fax
(610) 789-9937
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN242873L PA Primary

Addresses

Primary practice location

2010 Old West Chester Pike
Ste 330
Havertown, PA 19083-2712

Mailing address

2010 Old W Chester Pike
Suite 330
Havertown, PA 19083-2712
Phone (610) 789-8070

Other identifiers 6

IdentifierTypeStateIssuer
0071111000OtherPABLUE SHIELD
0071111000OtherAMERIHEALTH
0885105OtherBS FEDERAL
0015743000MedicaidPA
430038258OtherRAILROAD MEDICARE
0071111000OtherKEYSTONE MERCY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001044 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981649951 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rgal Anesthesia Services LLC CurrentSince Nov 15, 2021 Accepting new patients
Suburban Medical Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2023 Accepting new patients
Anesthesia Advantage PC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2019 Accepting new patients
Anesthesia Advantage of Delaware, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients
Valley Pain Center, L.L.C. Past Accepting new patients
Society Hill Anesthesia Consultants, PC Past Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients

Locations

570 Egg Harbor Rd
Ste A2
Sewell, NJ 08080
Phone (215) 860-4110

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

707 Eagleview Blvd
Ste 100
Exton, PA 19341

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1770570715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 OLD W CHESTER PIKE",
            "address_2": "SUITE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE",
            "address_2": "STE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORWERK",
        "first_name": "CARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN242873L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0071111000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0071111000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS FEDERAL",
            "identifier": "0885105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015743000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430038258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "0071111000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.